Organization
BIRMINGHAM HEALTHCARE LLC
Active
Other names
GRACE HEALTHCARE OF BIRMINGHAM
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE MARIE CLARK DANKS CPA (VP OF FINANACE)
(423) 308-1845
Entity
Organization
Contact information
Practice address
2728 10TH AVE S, BIRMINGHAM, AL 35205-1202
(205) 933-7010
Mailing address
2728 10TH AVE S, BIRMINGHAM, AL 35205-1202
(205) 933-7010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N3737
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4755400S
—
AL
Enumeration date
10/25/2007
Last updated
04/17/2008
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